| NPI | 1154562981 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Doing Business As | PMG MT PEDIATRIC HOSPITALISTS |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2025-05-06 |